General information – Restrictive permit


Under Section 35 of the Medical Act, the Collège des médecins du Québec (CMQ) may issue a restrictive permit to meet specific needs in accordance with established guidelines. The permit is restricted with respect to three aspects: place of practice, the medical acts authorized and validity (1 year, renewable annually). The CMQ’s Admission to Practice Committee is responsible for reviewing credentials and issuing permits. 

The permit holder is only authorized to practice in an institution. The permit does not authorize “independent” or private practice. 

There are three categories of restrictive permit: sponsored professor, clinician, Mutual Recognition Agreement (MRA). Please read each section to find out the requirements for each category.

Since the process is lengthy and you must maintain your clinical experience, we encourage you to keep practicing. 

In Québec, the place and type of practice are regulated by the Ministry of Health and Social services (MSSS), which establishes with its partners the regional medical staffing plans (PREM) on an annual basis. Due to the increase in the size of medical school cohorts in Québec, fewer positions have been available in the PREM, in particular for the last two years. The MSSS can offer you, under certain conditions, a sponsorship (agreement between MSSS, candidate and Health care Recruiter) that offers you a position in the PREM.

Once the permit has been issued, the applicant will receive an email with the information he needs to apply for First registration (lien) on the Roll of the Order. 

Last update: May 22, 2019